Land Manor, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

124-124H Issued in TX

Legal business name

LAND MANOR, INC.

Practice address

355 N 18TH St
Suite 101
Beaumont, TX 77707-2229

Phone

(409) 838-3946

Fax

(409) 838-4298

NPI assigned

Apr 13, 2007

Last updated

Nov 30, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cheryl Ann Kahclamat, LCDC

Title

Quality Management Director

Phone

(409) 838-3946

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1083838585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7250",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777267250",
            "telephone_number": "409-838-3946",
            "fax_number": "409-838-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N 18TH ST",
            "address_2": "SUITE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072229",
            "telephone_number": "409-838-3946",
            "fax_number": "409-838-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "KAHCLAMAT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "QUALITY MANAGEMENT DIRECTOR",
        "authorized_official_telephone_number": "409-838-3946",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "124-124H",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "124-F",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065464202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lamar University (Lamar Sports Medicine)
• Lamar University (Lamar Speech & Hearing)
• Lamar University Student Health Ctr
• Shawna Cecilia Lambert-Pitt, M.D
• Raymond Lee Lambeth, LMT
• Heather Coody Landers, AGACNP
• Dwight W. Landor, FNP-BC
• Katherine E Landor, FNP-BC
• Rachel Rene Landry Humphrey
• Brittany Ellis Landry, RNFA

• Substance Use Disorder Rehabilitation Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.